Doctors Trained to Surrender?

FailExperts need 10,000 hours to perfect a skill. We inherit talent but acquire mastery.

Conflict requires its own training. Some professionals spend years developing the art of rhetoric and debate.

Doctors spend years learning to avoid conflict. They work to help and serve, not to pick fights. Doctors see people at their weakest; prostrated patients looking for relief, not conquest.

Medical schools choose students bent on service. Schools stopped accepting students with nothing more than a great transcript 30 years ago. Modern interviews try to identify the most gentle and selfless. Patients love altruistic servants. But self sacrifice leaves the medical profession weak and defenceless.

Doctors have little clue about real self protection. Schools pound the fighting spirit out of students. By genetics and training, doctors prefer compromise over victory.

Doctors Trained to Surrender

David Esser MD asked whether we select doctors, and train them, to sacrifice and give in? He said:

How we select and train physicians puts them at a disadvantage when dealing with Government. 

It’s difficult to get into medical school. 

Only a select few are admitted. 

Those that get in are dedicated and hard working, ready to sacrifice time and income to train and learn. Docs spend many years training; always being available; getting a small income.

At work, we are trained to keep our wits about us and work through a crisis without getting worked up; patience and persistence. 

What we have learned and practice daily acts as a major barrier to physician action. 

Calm and Reasonable

Calm people can be scary. They often look placid right before they fly into a rage. Pacifists never learn to wrestle. By middle age, they have only two faces, calm and crazy.

Most doctors hate fighting. If government handles them well, doctors lose every battle just to avoid the fight. Physicians have never practiced engaging worthy opponents.

Government should still tread softly. Everyone has a breaking point.

Despite an almost complete lack of fighting spirit, some doctors insist that they would fight for something they believe in.

How about:

  • Multiple cuts to medical funding for vulnerable patients?
  • Or unilateral actions that target new graduates?

Maybe all medical schools should include 10,000 hours of training on how to fight government to prepare doctors for practice in Canada? If doctors cannot fight, we need to find someone who will do it for us.

 

Angry Doctors – Bad Idea or Inevitable?

oncall4ONGreat captains pick fights they cannot win to inspire their team. People do not follow leaders who avoid all risk. They want someone who will shout back at a bully and be willing to take what that brings.

Some people never cry in movies but get misty-eyed at financial statements showing better than expected earnings. Things move us differently.

Emotional messages move a fraction of the audience. Purely logical speeches leave most of the audience cold. We do not respond to the same spheres of motivation.

Inspire Your Team

Leaders must move everyone. They must speak to many spheres of motivation: reason, reward/punishment, conscience, social pressure and emotion.

Audiences get sick of messages that do not speak to their concerns. They tune out or start their own conversations.

Leaders start to resent teams that don’t respond. Leaders believe they did a good job. But many times, they just repeated data or concepts over and over with increasing frustration. Their message left out most of the team. They failed to inspire.

Angry Doctors

Why do union bosses get angry? They believe their cause is just. They want to inspire their members. They hold an intolerant, easily offended disdain for bullying by government or industry. They know they could lose their job.

Doctors avoid anger during talks with government. Is it because they:

  1. Are too proud to show emotion?
  2. Have no emotion to show?
  3. Don’t see a team to inspire?
  4. Don’t believe anger will work?
  5. Cannot lose their jobs no matter what happens?
  6. Believe it’s useless to fight?
  7. Have been burned before and are too scared to try again?
  8. Feel it goes against their nature?

Doctors say anger never works. But they get angry all the time. Challenge doctors about how smoking laws limit freedom, or some other favourite ‘social justice’ issue, then sit back and watch the fireworks. No, many doctors think anger works just fine for some things.

But should doctors get angry in fights with government?

Risk Both Ways

News reports about cuts to any profession – teachers, nurses or policemen – always show some emotion. There’s anger. Passion. But from the pictures of doctors in the papers, you’d hardly know anything has happened. A popular photo of a surgical team on call almost shows a bit of emotion (Oncall4ON).

Picking the wrong fight, at the wrong time, can ruin a leader and the team. Misusing anger can create remorse that takes a generation to forget. But letting it build threatens an explosion.

At some point, ‘calm and thoughtful’ starts to look like unfazed and ambivalent. Is it time for doctors to show a little emotion over cuts to healthcare? Or should doctors never show emotion? What do you think?

Journalist Scolds Doctors

2015-andré_picardAndre Picard is brilliant. After several decades of reporting on Canadian healthcare, he knows doctors shrivel at the slightest reprimand.

Doctors value respect. Accuse them of behaving shamefully and watch docs slink away, tails between their legs.

Picard scolded doctors for complaining about cuts and caps on healthcare spending. Grow up doctors. Stop talking about your income. You embarrass us with your entitlement. And one other thing, stop attacking Minister Hoskins on social media. You ought to know better.

Isn’t that precious? A journalist scolds doctors for talking about income.

Premier Wynne and Minister Hoskins misrepresented doctors’ incomes from their first declaration of war. All major media outlets delight to print physicians’ gross billings.

Granted, honest reporters bury an explanation about gross versus net billings in the unread darkness near the end of their columns. Like CPR 20 minutes after cardiac arrest, it’s too late. Readers got the intended wrong message in the first paragraph.

Be sure of this, doctors hate discussing income. They learned in grade school that achievement draws envy. Better to stay quiet.

But after months of repeating lies like “Physician’s average income is $360k” and “Doctors got a 61% raise,” doctors have had enough. They cannot look any worse by telling their side of the income story. So individual doctors have tried to correct glaring errors.

How entitled of them!

Mr. Picard also shamed doctors for picking on Minister Hoskins. Picard must have some egregious example in mind. If it was enough to warrant copy in a national newspaper, I hope it paled the sneering attacks and snide criticism journalists write about politicians every day.

Maybe doctors shared rude pictures? Perhaps they dared to attempt a political cartoon? You know, the ones media uses that make the most confident people question their self image?

Yes, Mr. Picard is brilliant. He knows the best way to douse the fire the Liberals sparked with their latest cuts to healthcare. He knows about the 11,000 members that sprang up on a Facebook page 2 weeks ago: Ontario MDs Concerned About Continued Funding Cuts.

He must try to settle doctors down. His favourite politicians are in trouble. Who knows what might happen if doctors upset the public with the truth? I guess we can’t blame him for trying.

photo credit: www.theglobeandmail.com